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February 07, 2019
The survey of people affected by cancer was conducted among participants to determine the incidence of cancer on their lives.
Cancer treatment can have negative effects on work-related performance problems, according to the results of a cross-sectional survey of a cohort of adolescent / young adult (AYA) cancer survivors aged 15 to 39 years. This study was published online in Cancer.
Cancer rates in AYA have increased in recent years; However, there is a lack of knowledge regarding the perceived long-term effects of cancer and its treatment in this population.
Eligibility to participate in the study included diagnosing cancer at the age of 18-39, treatment in one of seven comprehensive national cancer centers and conducting an online survey in the 1 to 5 years after diagnosis and at least one year after the end of treatment.
The Cancer Patient Survey, a patient-reported patient outcome survey developed by the LIVESTRONG Foundation in collaboration with the National Cancer Institute and other organizations, was administered to participants in the Canadian Cancer Society. 39 study to "determine the extent to which cancer has affected the lives of cancer survivors". In addition, data on treatment exposures were extracted from medical records.
Of the 2005 cancer survivors deemed eligible to participate in the study, 872 responded to the survey. In the overall cohort of the study, the cancer diagnoses were: bad cancer (241 patients), thyroid cancer (126 patients), leukemia / lymphoma (163 patients) and other cancers (342 patients). Of these patients, 84.4% of participants reported being employed as a result of their cancer diagnosis. Seventy percent (70.2%) of those reporting a history of employment required the completion of certain physical tasks.
After adjusting for confounding factors, such as age at diagnosis, gender and history of radiation and surgery, odds ratio (OR) lasting effects of treatment on the ability to perform physical tasks related at work in the chemotherapy subgroup was 1.97 (95% CI, 1.22-3.11), P <0.01) relative to the subgroup not exposed to chemotherapy.
Similarly, the odds ratio of the long-term effects of chemotherapy on the ability to perform work-related mental tasks in the subgroup who received chemotherapy was 3.22 (95% CI, 2%). , from 15 to 4.79; P <0.01) relative to the subgroup not exposed to chemotherapy. In addition, chemotherapy treatment was also significantly badociated with increased break-time (OR = 3.56, 95% CI, 2.31-5.47; P <0.01) and an increased probability of borrowing $ 10,000 or more (OR = 3.05, 95% CI, 1.53-6.09; P <0.01), using the subgroup that has never received chemotherapy as a comparator.
"This work is important for understanding the unique challenges AYA cancer survivors have with respect to employment during and after cancer treatment. Current findings suggest that further studies and longitudinal interventions are needed to describe and support AYA cancer survivors in the labor market during and after cancer treatment, "wrote the authors of the study. study.
Reference
Ketterl TG, Syrjala KL, Casillas J, et al. Long-lasting effects of cancer and its treatment on employment and finances among cancer survivors in adolescents and young adults [published online February 1, 2019] Cancer. doi: 10.1002 / cncr.31985
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